(3) On physical examination, the abdomen is found to be diffusely tympanitic with succussion splash
, and a distended Pouch of Douglas on rectal examination.
Presence of projectile vomiting of undigested food material, succussion splash
heard 3-4 hours after meal, visible gastric peristalsis, presence of mass with above features.
The only positive finding was an impressive succussion splash
He was cachectic in appearance and there was succussion splash
and sensitivity in the epigastric region on physical examination.
Amongst the signs, gastric splash (succussion splash
) 145 versus 35% had a statistically significant P value (0.003), whereas rest of the signs were not significant statistically.
Physical exam was unremarkable except for a mildly distended abdomen and the presence of a succussion splash
A succussion splash
and shifting dullness were noted, and there was pedal edema.
The only positive finding on abdominal examination was a succussion splash
The pre-requisites for enrolment included persistent vomiting of undigested food, gastric succussion splash
heard 3-4 hours after the last meal, visible gastric peristalsis or palpably distended and hypertrophied stomach, overnight fasting gastric aspirate of more than 200 cc and saline load test (Goldstein) of more than 400 mL remnant.
Hyperresonant note was observed in the axillary and right interscapular region with positive succussion splash
and shifting dullness.
Patient was dehydrated and in compensated shock with fullness in upper abdomen and positive succussion splash
. He was resuscitated and ryles tube aspiration done and his pain subsided immediately.
On examination the only finding was a gastric succussion splash
. Gastroscopy confirmed a distended stomach with residual bile stained gastric content and a normal upper gastrointestinal tract to the third part of the duodenum.